HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/08/2020 Permit Number: p4_L J I
1�v RECEIVED
O
Building Permit Application DEC 15.2020
Planning and Development Services permitting Department
Building and Code Regulation Division Commercial Residential x St.Lucie Count`/
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR: Re-Roof
:PROPOSED;°IMPROVEMENT LOCATION:4002:Avenue N
Address: 4002 N,Avenue N; Ft. Pierce, Florida 34947
Property Tax ID#: 2405-601-0443-000-1 Lot No.15&16
Site Plan Name: SUNLAND GARDENS BLK 24LOTS 15 AND 16(0.36 AC) Block No. 24
Project Name: Reed Property
DETAILED-DESCRIPTION OF WORK:
Shingle to Shingle"RE-ROOF"; Flat roof torch down
New Electrical Meter Second Electrical Meter
`CONSTRUCTION INFORMATION.:..',,,. '
f
Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof 5/12 Pitch
Total Sq. Ft of Construction: 2500 Sq. Ft. of First Floor: 2500
Cost of Construction:$ 9000.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name_ t�11 Name:GEORGE&ASSOCIATES CONTRACTORS, INC.
Address: y/� Z�ythu,+ Company:
City:' P e=.r G z State: Address:2990 CONIFER DRIVE
Zip Code: �� ? Fax: City: FT. PIERCE State:FL
Phone No. �_a 93q- 706 Zip Code: 34951 Fax:
E-Mail: Phone No 772-834-7001
Fill in fee simple Title Holder on next page(if different E-Mail georgeconstruction3@gmail.com
from the Owner listed above) State or County License CCC1328132
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: ,
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work .
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie ounty and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
e der or an attorney before commencing work or recording our Notice of Commencement.
Si ature of Owner 26sscontractor as Agent for Owner Sig ture of Contractor/ ' nse Holder
STATE OF FLORID STATE OF FLORIDA _
COUNTY OF_ �.�1CIF, COUNTY OF 4
� ��1�,
Swgfn to(or affirmed)and subscribed before me of Swo to(or affirmed)and subscribed before me of
� Physical Presence or Online Notarization Physical Pr ence or Online Notarization
this I' day f 20 by this ci y of 0 0 by
Name of person making st ent. Name of person ma_king/statement.
Personally Kno Personally Known `� OR Produced Identification
Type of Identific Rion,,,,, KAREN S. NIELSEN Type ofIde '
Produced �""YP°
� °%'%S ate of Florida-Notary Public Produced-
8 ,
_• •� Commission # GG 20744 1p' �r;; S. NIELS
Stat EN
My Commission Expires �_ a of Florida-Notary Public
;y YC Commission
(Signature of Ni (Signatur f W81;WPub �1$1@ d*t0r'.)res
une 12, 2022
Commission No. (Seal) Commission No.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.